Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
Drag from the options to complete the sentence
After listening to the client's symptoms, the nurse realizes that she likely has related to
Options for 1
(separation anxiety, acute stress disorder, phobia, hallucinations)
Options for 2
(undiagnosed mental health disorder, traumatic stress exposure, side effects of medication, overstimulation)
This question is an excerpt from Nurse Dive's nursing test bank - RN Hesi Exit Proctored Exam. Take the full exam now
Full Explanation
Similar Questions
The nurse is caring for a client with the sexually transmitted infection (STI) genital herpes. The client reports having sex with multiple partners. Which response should the nurse provide
A. Remain non-judgmental and assure the client of confidentiality.
It is essential for the nurse to maintain a non-judgmental and supportive attitude when caring for clients with STIs, including genital herpes. Assuring the client of confidentiality helps to create a safe and trusting environment, encouraging open communication about the client's concerns and experiences. This approach promotes the client's well-being and allows for effective education and support regarding STI prevention, transmission, and management.
B. Provide counseling that most contraceptives protect against infection.
C. Clarify that all STIs are transmitted through sexual intercourse.
D. Inform the client that complications will not result from reinfection.
Full Explanation
It is essential for the nurse to maintain a non-judgmental and supportive attitude when caring for clients with STIs, including genital herpes. Assuring the client of confidentiality helps to create a safe and trusting environment, encouraging open communication about the client's concerns and experiences.
This approach promotes the client's well-being and allows for effective education and support regarding STI prevention, transmission, and management.
A client with a history of lung cancer reluctantly comes to the clinic because of persistent hoarseness and a chronic cough. The client's respirations are labored when speaking and the capillary refill is 3 seconds. Which additional finding warrants intervention by the nurse?
A. Coarse breath sounds.
The client's history of lung cancer, persistent hoarseness, chronic cough, and labored respirations when speaking indicate potential respiratory complications. Coarse breath sounds may suggest the presence of airway obstruction or fluid accumulation in the lungs, which can be indicative of a worsening condition. The nurse should intervene promptly by assessing the client's respiratory status further, providing appropriate respiratory support, and notifying the healthcare provider for further evaluation and intervention.
B. Rust colored sputum.
C. Unexplained fatigue.
D. Clubbed fingernails.
Full Explanation
The client's history of lung cancer, persistent hoarseness, chronic cough, and labored respirations when speaking indicate potential respiratory complications. Coarse breath sounds may suggest the presence of airway obstruction or fluid accumulation in the lungs, which can be indicative of a worsening condition.
The nurse should intervene promptly by assessing the client's respiratory status further, providing appropriate respiratory support, and notifying the healthcare provider for further evaluation and intervention.
The nurse is assessing a 4-year-old child with eczema. The child's skin is dry and scaly, and the mother reports that the child frequently scratches the lesions on the skin to the point of causing bleeding. Which guideline is indicated for care of this child?
A. Apply baby lotion to the skin twice daily.
B. Bathe the child daily with bath oil.
C. Allow the child to wear only 100% cotton clothing.
D. Keep the nails trimmed short.
Full Explanation
Keeping the child's nails trimmed short helps minimize the risk of further skin damage and infection resulting from scratching. It reduces the likelihood of breaking the skin and causing bleeding. This preventive measure can help protect the child's skin and promote healing. It is important to combine nail trimming with other appropriate interventions for managing eczema, such as moisturizing the skin, avoiding irritants, and following the healthcare provider's recommendations for treatment.